Download JE 45 year old Triathalon/Marathon runner: 5 feet 8 inches 130 lbs

JE
45yearoldTriathalon/Marathonrunner:
5feet8inches130lbs
Willparticipateinseveraleventspermonth
Hasbeenvegansinceage17
Hashadsignificantfoodallergiesandhasbeenona“Candidadiet”
Hasveryerraticmenstrualcycles
Recentlyhasnoticedtroublewithirregularheartbeatorpalpitations
Complainsoffatigue.
Tremendousjobstress.
GIdiscomfortandbloating
Focusandconcentrationisnotwhatitusedtobe
Ismoreirritableattheendoftheday
Hasnoticedsomenumbnessandtinglingintheextremitiesandhassomemuscle
cramps.
JE 4/27/12 Areas of Concern  Inflammation & Lipids – lipids out of optimal range with more less‐
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protective than protective HDL subfractions, higher Cholesterol, Lp (a), and VLDL‐3 levels increasing risk of heart disease and/or metabolic syndrome (precursor to diabetes) Sex Hormone Balance – Estrogen Dominance with more estrogen in relation to progesterone levels with more non‐protective than protective estrogens & lower progesterone levels; estrogen stimulates growth of female organ systems & can disrupt function & risk of hormonal‐based cancers (i.e. breast) Stress & Sleep – AM cortisol higher than optimal with elevated levels inflammatory & catabolic (body breaks down quicker than it rebuilds – muscle, connective tissue, digestive function, cognition, immunity, thyroid function, sex hormone balance, etc); DHEA‐S lower than optimal, often a result of chronic stressor/s & negatively impacts brain health and speed of aging (physical/mental) Digestive Health – digestive inflammation/leaky gut with multiple food sensitivities, which indicates activated immune response causing more inflammatory responses in body; affects ability to break down, absorb, and utilize nutrients for metabolism & health Nutrient Deficiencies ‐ ? B12 (common in vegetarians) and/or folate o Vitamin D level toxic Thyroid & Metabolic Hormones – TSH higher than optimal with Free T3 (up to 10x as metabolically active as Free T4) lower than optimal – oftentimes poor conversion from T4 to T3 related to chronic stressor/s (internal + external) Lab Optimal Functioning Values Your Value
Comments
>50 106
160‐200 <10 234
11
? less protective against heart disease – depends on what type you have 2x risk of heart disease
HDL‐2 most protective >15 41
HDL‐3 less protective >25 65
VLDL‐3 small remnant <10 12
LIPIDS and INFLAMMATION HDL Cholesterol Lp (a) Cholesterol Genetic variation of LDL in blood; new marker for early onset atherosclerosis Less protective in comparison to less‐protective HDL’s More less protective HDL’s than protective Sensitive indicator for heart disease LDL Density Pattern CRP‐hs GLUCOSE BALANCE Insulin LDL Pattern (A) < 1.0 A
0.31
2‐8 2.4
Low end – exercise can decrease as it reactivates insulin receptors on cells 2.43
Greater than optimal – lower thyroid function (energy & metabolism) Ok ENERGY & METABOLISM ‐ THYROID PROFILE TSH 1.3 ‐ 2.0 Free T4 0.82 ‐ 1.77 Free T3 3‐3.25 TPO Ferritin <20 13‐150 CORTISOL & DHEA – Adrenal Health and Hormonal Balance AM cortisol, blood 9.7‐14.55 DHEA‐S, blood SEX HORMONE BALANCE Progesterone Estradiol Estrone Estradiol : Estrone ratio Estradiol + Estrone : Progesterone ratio 350‐701 Follicular 0.2‐1.5 Ovulation 0.8‐3.0 Luteal 1.7‐27.0 Follicular 12.5 – 166 Ovulation 85.8 – 498 Luteal 43.8 – 211 Follicular 37 – 138 Midcycle 60 – 229 Luteal 50 – 114 2 : 1 10‐14 : 1 CORE HEALTH PROFILE – IMMUNE SYSTEM WBC 4.0 ‐ 10.5 MCV 80 ‐ 98 MCH 27 ‐ 34 Neutrophils & metabolic syndrome
Great 40 – 74% 0.98
2.5
10
33
19.4
164
? 0.3
Great – inflammatory marker
Lower than optimal; often poor conversion related to chronic stressor/s Ok Ok – iron storage marker
Higher than optimal
Lower than optimal – anti aging hormone critical for immunity, sex hormone production, brain health, lean muscle mass retention, speed of aging Lower than range OR low end of range if follicular ? 16.5
? 49
0.34 : 1
More non‐protective than protective estrogens present 218 : 1 Estrogen dominance – more estrogen in relation to progesterone than optimal 3.6
? underactive immune system, allergies, chronic inflammation, vitamin deficiencies ? B12 deficiency
100
33
41
? B12 and/or folate deficiency
First line of defense against infection ‐ ? severe/chronic Eosinophils % MEB’s (mono % + eos % + baso %) Total Protein 0‐7% >7% inflammation >18% digestive inflammation >7.2 14
infection or inflammatory response
? allergies, inflammation, infection
Digestive inflammation/leaky gut
25% 6.1
Albumin >4.5 Globulin 2.8‐3.2 4.0
2.1
Vitamin D 60‐100 220
Lower protein intake/ poor absorption & utilization of proteins Same as above
Immune compromise, ? lower HCL production for adequate protein digestion Higher than optimal; toxic levels –
can cause calcium deposits in soft tissues (kidneys, arteries, heart, ears, lungs) **Values based on: An ebook Consumer’s Guide to Interpreting Laboratory Testing. ©Integrative Health Resources, 2010 ** Foods below are listed in order of sensitivity (lowest to highest sensitivity) Class 1 Class 2 Class 3 Class 4 Foods Foods Foods Foods Lamb Corn
Peanut Chicken Rye
Cow milk
Tomato Green beans
Wheat Onions Blue cheese
Egg Chocolate/cocoa Soybean Oat Bakers yeast Cane sugar Brewers yeast Class 5 Foods 5.5.12
Let’sbreakthisdownintoareasofpriorityforyousothatwecanestablishsome
goalsthatneedtobeachieved:
1stPriority:
Weneedtogetyouriron,B12andferritinpoolsincreased.
Wewillneedtomeasureyourironlevel.Lowironlevelsreducetheconversionof
T4toT3.Insufficientironlevelseffectsthefirsttwoofthreestepsofthyroid
hormonesynthesisbyreducingtheactivityoftheenzyme“thyroidperoxidase”,
whichisdependentoniron.Thyroidperoxidasedrivesbuildingiodinetotyrosine
(aminoacid)intothethyroidhormoneT4andT3.Lowironlevels,whichlow
ferritinreveals,alterstheconversionofT4toT3,besidesbindingT3.
LowironlevelscanincreaseTSH(thyroidstimulatinghormone).TheAmerican
SocietyofendocrinologyrecommendstakingactionataTSHof2.5.Itisclearthat
thereisanimbalanceherebutweneedmorelabstofigureoutwhatsteptotake.
Obviously,thefirststepistoimproveyourirondeficiencyandthenfigureoutwhat
happens.
Yourthyroidissuescouldsolelybebecauseoftheironandferritindeficiencythat
youhave.
Ferritin33ng/mlverylow
Ferritinisacomponentofaredbloodcell.Whenferritinislowyoucanfeelfatigued
andweak.Ferritinisalsoneededtothebindingofthyroidhormonestocellssothat
itcanstimulatemetabolicfunction.Othersignsinclude:
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Minoraches
Abdominalpains
Increasedpulseorpalpitations,
Lossoflibido
Increasedirritabilityandconfusion
Heartburn
Numbnessortinglinginextremities.
Decreaseinmentalsharpness
Palenessoftheskinoreyes
Brittlenails
Asmentionedabove,withbothironandferritinbeinglow,thisisasignofiron
deficiencyanemia.Whenyouarelowiniron,youcanfeeltired,rundown,not
thinkclearlyandrestlesslegsyndrome.Youcaneithernotabsorbtheirondueto
chronicinflammationintheGItractoryourdietmaybedeficientiniron.
MCV100iselevated:
ThismeansthatyouhaveaB12deficiencyandIwouldalsorecommendtakingfolic
acid.Whenthisiselevatedcombinedwiththelowferritin,itmakesitdifficultfor
yourbloodtocarryoxygen,asitshould.Thiscanleadtoexcessivefreeradical
damage.
2ndPriority:
Weneedtoimprovecortisolregulation:Cortisol19.4
Whencortisoliselevateditdisruptsthyroidandsexhormoneproduction.In
addition,elevatedcortisolcausesmorehistaminetobereleasedinthegutwhich
thenleadstofoodsensitivitiesandallergies.Socortisolwillcauseleakygutand
thenleadtogrowingunfriendlyflorasuchascandida(Youarefamiliarwiththis).
Alsowhenelevatedstresshormonesoccurovertime,youcanbegintogetagitated
mid‐day,andattheendofthedayyoumaynotfeelasthoughyoucanthinkas
sharplyorhaveasgoodofcriticalthinkingandcopingskills.
3rdPriorityHealingtheGut
MEBvalue25%withEosinophils14%bothveryelevated
AsyouknowthereisacorrelationtoenduranceathletesandGIproblems.Youhave
ahistoryofGIdistress.Whencortisolbecomeselevated,itfiresthesympathetic
nervoussystem.Thiscausesachangeinintestinalpermeability.Thegutbecomes
leakyandtheresultisanincreaseininflammatorysignalingthroughoutthebody.
Withmorehistaminebeingreleasedyourbodybecomesproneformorefoodand
environmentalintolerancestooccur.
4thPriority
Buildupproteinintakethroughtheday.Proteinwillhelpwithanabolicdriveand
repair.Itwillalsohelpwithbuildingthyroidhormonesandbrainneurochemicals.
5thPriority
ThyroidhormonebalanceTSH2.43(trendinghigh)T4.98(lownormal)Free
T32.5(low)
Therearetwoissuesdrivingthelowthyroidperformanceandpotentiallyathird.
Correctingthefirsttwomaytakeoftheproblembutwewillhavetoconsiderallof
thefollowing.
 Ironandferritindeficiency
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ElevatedCortisol
OthertracemineraldeficienciesthatIsuspect(chromium,tyrosine,
Selenomethionine,iodineandmagnesium)
AlloftheproductsIamrecommendingforyouareveganandareinveggiecap.You
canorderthesefrommyLMIofficeorgetthemsomeofthemthroughLifeTime.Call
FritzGeermybusinesspartner513‐608‐7883.Hewillsetyouupatmycostsoit
willbeabigsavings.
Product
a.m.
noon
p.m.
bedtime
Reason
Ohirra’s
1
2
Highpotency
Probiotic
probiotic
(LMIClinic)
that
decreases
inflammation
signaling.Do
thisdosefor
4weeks
Quercetin
2
2
Thisisto
Chalcone
reduce
(Thorne)
histamine
(LMIclinic)
response,
besttotake
beforeor
between
meals
Moducare
2
Restores
(Wakanaga)
immune
(LMIclinic)
balance,
reduces
cortisol
outputin
athletes
ReloraPlus
1
1
Stress
(lifetimehas
Response,
this)
feelmore
calmduring
theday
MethylGuard 1
1
B12and
(LMIClinic)
Folate
deficiency
Floradix
1dose
1dose
1dose
Thisprovides
30mg/day.
MerivaSR
500mg
(LMIclinic)
1
Multivitamin whicheverone
youare
currently
using.
GlutAloemine 1tsp
(LMIclinic)
1
1
1tsp
1serving
VeggieProtein 1serving fromLifetime
Weshould
recheckiron
andferritin
levelsin4‐6
weeks
Decreases
inflammation
inthe
intestineand
reduces
inflammatory
markersin
theblood
stream.
Helprestore
thegut
lining,
protectthe
kidneysand
immune
system.
Mixthisin
somealmond
milk.Look
onthelabel
makesure
thebrand
doesn’thave
carrageenan
init.Thisis
tobuildyour
aminoacid
poolup.